Académique Documents
Professionnel Documents
Culture Documents
from A to Z
Your benefits at a glance
Contents
2
It’s the service that matters!
KKH offers tailor-made health solutions to around two million members with stat-
utory health insurance, which will also give you what you’re looking for. You not
only have the opportunity to take advantage of a large number of supplementary
coverage options, but also make great savings while you do so. Attractive selective
tariffs, bonus points for a healthy lifestyle and comprehensive preventive care
programmes are just a part of the additional coverage that we can provide.
Over 4000 KKH employees will take care of your individual needs and process your
enquiries and requirements quickly and professionally. With 110 service points, KKH
is your reliable partner throughout Germany. This brochure not only gives an over-
view of the services to which you are legally entitled, but also the added benefits of
KKH. These are marked separately by the areas shaded in blue. This enables you to see
immediately the outstanding services that can make a difference to your health.
Your KKH
Please note that the links mentioned in this brochure are only available in German.
If you have further questions don‘t hesitate to contact our English-speaking
service-hotline at 0511 806849303 (Monday – Friday, 9 am to 4 pm)
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Your benefits from A to Z
A–B Acupuncture óó
tive treatments, we will be happy to support you. óó We have a very special offer for you with
As a member of KKH, you are entitled to receive óó prosthetic teeth from the German brand
acupuncture through your electronic health card manufacturer “biodentis”. You will receive
(“eGK”) for chronic lumbar spinal pain or chronic high-quality dentures at special conditions.
knee joint pain arising from gonarthrosis. You reserve the right to use the dentist of your
choice. The prosthetic teeth, which are manu-
factured only in Germany, are mainly biocom-
patible, so well tolerated, and are also highly
Your added bonus with KKH: durable. For more information, see:
Baby insurance www.kkh.de/biodentis
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C–D Contraception
Your added bonus with KKH:
Care consultation For young people in particular, examinations and
recommendations by a doctor are important with
If you require it, you can receive care consul- regard to contraception. KKH will pay for the cost of
tation by KKH nursing care insurance and a contraception means prescribed by a panel doctor
package can be produced that is tailor-made (contraception pills, pessaries, etc.) up to the end
to suit your needs. Your care consultant will of your 20th year, minus the legally determined
adapt the type of care offered to your individ- surcharges.
ual situation and provide one-to-one support.
Cost reimbursement
Girls and young women aged between 9 and 14 can Your added bonus with KKH:
receive the “HPV inoculation” after receiving medi- Second dentist’s opinion
cal advice from a doctor. The inoculation is given in
three doses over a period of six months. The costs If you have an estimate of costs from your
for the vaccination are covered by KKH. Insurance dentist you can upload the document on
coverage also generally includes a repeat of the the “second dentist opinion” marketplace.
vaccination and the completion of vaccine protec- Dentists who are certified and practising in
tion, by the latest at the end of the eighteenth year. Germany can then submit an offer for the
services described in the therapeutic and
KKH clinic search cost plan. This can in some cases consider-
ably reduce your share of the cost of treat-
Particularly when a more specialised operation is ment. Also for the professional tooth clean-
needed, routine and expert knowledge are needed. ing, it can be worth to compare prices. KKH
KKH clinic search will help you find a hospital that members can use this service free of charge.
meets your needs. Here, you can search for the Register directly via our online service point
most frequent operation procedures (OPS) or at: www.kkh.de/2te-zahnarztmeinung
treated diagnoses (ICD). In this way, you can be sure
to find the right hospital for you. You can access
the clinic search via www.kkh.de/kliniksuche
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D–E Disease management programmes Early cancer diagnosis
Members of KKH can participate in our health pro- Benefit from the opportunities for early detection
grammes (disease management programmes) for examinations for cancer. The earlier a diagnosis can
diabetes mellitus type 1 and type 2, coronary heart be made, the greater are the chances of healing.
disease, breast cancer, asthma and chronic obstruc-
tive pulmonary disease (COPD). You receive struc- Only for women:
tured treatment according to the latest medical óó skin examination every two years from the
ration form and more information at: óó Breast check-up (palpation) from the age
www.kkh.de/gesundheitsprogramme of 30
óó Intestinal examination once a year and
Your added bonus with KKH: The U10, U11 and J2 are added services from
Domestic help with acute illness your KKH.
You can claim for free examinations with a
To ensure that your family life is still man- doctor who has signed up to the paediatri-
aged when you as the person leading the cian agreement (“BVKJ”). You can find out
household suddenly fall ill, the KKH will whether your paediatrician is a participating
cover the cost of a self-organised domestic authorized doctor from your KKH service
help or the loss of income by your marital point or by phone on our service-hotline:
spouse arising from the need for a domestic 0511 806849303 (Mo–Fr, 9 am to 4 pm )
help. This additional claim covers ten days
in the calendar year, with four hours of help
per day. One child under 14 must be living in
the home, and no-one else must be able to
continue to manage the home.
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E–F Early detection examinations for dental, Family insurance
oral and jaw problems among children
Your family is important to us! With KKH, your
We cover all costs arising for early detection exam- family members are also insured free of charge in
inations by an authorized dentist for children aged most cases. We will be happy to inform you about
6 to 72 months (from 1/2 a year to their 6th year). the requirements for family membership.
Your added bonus with KKH: Your added bonus with KKH:
Email alert service Fitness for Kids
With our free medical check-up alert service, In collaboration with the “Verein für Früh-
you can be sure not to miss any important prävention Berlin e. V.”, the Berlin-based
check-up appointments. Register at: association for early prevention, we support
www.kkh.de/erinnerung more physical exercise in kindergartens, in
order to prevent a lack of exercise and its
consequences for health through fun and
games. For more information, see:
www.kkh.de/kinderfitness
Exemption from co-payments
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F –H
Your added bonus with KKH: Your added bonus with KKH:
Fitness rebates for KKH members KKH health hotline
As part of our cooperation with Fitness First, We also offer round-the-clock support when
one of the leading fitness and health service you’re ill! 365 days a year, you receive indivi-
providers with over 80 clubs in Germany, KKH dual, professional information from doctors
members enjoy exclusive benefits, from and medical specialists regarding suitable
reduced rates to bonus points. For more hospitals and specific treatment and therapy
information, see:www.kkh.de/fitnessfirst options to special provision agreements.
Our health hotline: +49 (0)89 9500 84 188
And those who prefer training at home might
find the right package for them at NewMoove
– at reduced prices for KKH members. The on-
line fitness studio offers around 500 courses
from 13 different course categories. For more
information, see: www.kkh.de/newmoove Home nursing care
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H–I Homeopathy Individual prophylaxis
(prevention of dental diseases)
Do you have faith in natural medicine? Then we among children and young people
will be happy to support you. The KKH will cover
some of the cost of homeopathic treatments and We cover all costs for services provided by author-
medications if they are conducted as part of medi- ized dentists for children and young adults aged
cal care provided by an authorized doctor, or are on between 6 and 17.
prescription.
Naturally, we will also take care of your insurance Implants and inlays
while you are abroad. Your KKH service point will
advise you on any vaccination you may need, as Under certain conditions, KKH members receive
well as the specific legal regulations in your country subsidies for implants and inlays. KKH offers a wide
of destination with regard to cost payments if you range of other services, alongside the legal basic
fall ill. For more information, see: care for dental treatment and dental replacement.
www.kkh.de/urlaubstipps You will find more information under “Tooth
replacement” on page 18.
Support in cases of incorrect treatment
9
M Medical aids
Your added bonus with the KKH:
Illness often leads to restrictions, many of them can KKH mobile phone services
be compensated by medical aids. These include rolla-
tors and wheelchairs, as well as hearing aids, incon- We stand for innovation and progress when
tinence items, replacement body parts (such as leg it comes to your health. That’s why the KKH
prostheses) and other items. These must be medi- offers members free apps and SMS services.
cally prescribed in each case in order to ensure that Whether you choose the preventive care ma-
your treatment is a success, that your impediment nager app or running training via SMS, we will
is compensated, or to prevent the threat of disability. alert you on your mobile phone regarding your
When it comes to covering the costs, your health preventive care, health and fitness. For more
insurance company is your first point of contact. information, see: www.kkh.de/mobil
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N–O Orthodontic treatment
Your added bonus with KKH:
NutritionCoach For orthodontic treatment of children and young
adults aged up to 18, we cover 80 or 90 percent of
Benefit from our free, interactive online the contractual costs with a defined manifestation
NutritionCoach. In the 12-week programme of the tooth or jaw deficiencies. To the extent that
units covering three months, you will find the treatment is completed within the medically
targeted assistance in order to maintain or required scope, the portion paid by the patient is
achieve your ideal weight. covered by 10 or 20 percent. For adults, we cover
www.kkh.ernaehrungscoach the cost of orthodontic treatments when combined
jaw surgery and orthodontic measures are required,
when there is a defined manifestation of the tooth
or jaw deficiencies.
11
P
Your added bonus with KKH: Your added bonus with KKH:
ParentCoach PhysioPlus
Not in the mood to do homework, arguments As an exclusive offer, KKH provides a unique,
among siblings, refusing to go to bed? The cost-free function check of your musculo-
free online ParentCoach helps you deal with skeletal system. PhysioPlus helps with mus-
all kinds of common everyday conflicts that all cular problems in the initial stages, or with
parents have experienced at one time or an- muscular tension that restricts your everyday
other. With video examples, tips and exercises, (working) life or in sport – with an individual
you can train to develop a more stress-free examination and consultation with qualified
way of behaving with your children. physiother-apists. They will give you tips on
www.kkh.de/elterncoach posture and movement tailored to your indi-
vidual needs. For more information, see:
www.kkh.de/physioplus
Patient advice/protection
Pregnancy/motherhood
KKH will advise you in connection with the planned
treatment by doctors, dentists and hospitals. Your KKH accompanies mothers-to-be right from the
KKH service point will provide information e. g. on start, and supports the health of mother and child,
possible alternatives to a planned method of treat- from preventive examinations and birth to after-
ment. birth care. KKH covers the costs of doctors, midwives,
dressings and therapeutic products, care or home
Patient training events help and maternity allowance. Confinement in all
hospitals and clinics approved for contractual treat-
As well as medical treatment, KKH supports you and ment is also covered. Your local service point will
your family in self-managing your chronic illness, for provide detailed information. You can also find out
example for asthma or back pain. Ask your service more at: www.kkh.de/babykasse
point for information about the medical require-
ments and our coverage options. If a pregnancy is terminated for medical or crimino-
logical reasons, we will cover all costs suitable for
Periodontitis treatment settlement for treatment by a doctor, medications
and therapeutic products, and for treatment in
KKH covers all contractual costs of treatment. hospital.
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P
Your added bonus with KKH: Your added bonus with KKH:
Additional services during preg- Prevention courses and compact
nancy: midwife on-call service and prevention
streptococci test
As a member of KKH, you receive subsidies for
KKH offers comprehensive, individual health up to two quality-tested courses per calendar
protection for each phase of life. Our special year relating to physical exercise (walking,
services during pregnancy are: aquajogging, spinal exercises, etc.), nutrition,
addiction prevention (tobacco and alcohol)
Contribution to the cost of on-call services for and relaxation (autogenic training, hatha yoga,
midwives from the 37th week of pregnancy. qi-gong, etc.). For more information, see:
For more information, see: www.kkh.de/praevention
www.kkh.de/hebammen
Do you work full time and do you have no time
Contribution to the cost of a streptococci test to attend a prevention course that lasts sever-
from the 35th week of pregnancy. al weeks? Stay at a beautiful hotel or highly
For more information, see: quality spa facility for a few days and combine
www.kkh.de/streptokokken relaxation with effective preventive measures.
KKH will bear the costs of compact prevention,
while your contribution stays at a reasonable
level. You can obtain the brochure with the
current offers from your service point.
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P–R
Your added bonus with KKH: Your added bonus with KKH:
Prevention database KKH world of travel
KKH members can find quality-tested, subsi- Exercise, nutrition and relaxation: these are
dised health promotion courses in your town the three cornerstones that we use as a basis
or region in just a few easy steps in our preven- with our cooperation partner Dr. Holiday to
tion database at www.kkh.de/praevention create attractive prevention holidays for you,
subsidised by KKH. If you haven’t yet found
an opportunity to take part in a prevention
course in your area, you can try out Nordic
walking, aqua fitness or progressive muscle
relaxation in beautiful surroundings, away
from everyday stress.
Your added bonus with KKH:
Private clinics This can be well combined with a relaxing
holiday. Your added bonus is that KKH will
As well as being treated in an approved hos- bear the costs of prevention, while your share
pital, you can also arrange for treatment at of the payment covers the cost of travel to
selected private clinics. KKH has agreements your destination, accommodation and board.
with high-quality private clinics that allow You can also benefit from trips with extra
you access to their treatment packages. For health services. Start a more healthy lifestyle
more information, see: right away with a visit to a spa, or with a
www.kkh.de/privatklinik massage or sauna. And all this at attractive
prices. For more information on both offers,
see: www.kkh.de/reisewelten
Psychotherapy
KKH covers the costs of outpatient psychotherapy Your added bonus with KKH:
treatment in full if it is offered by therapists who Fixed retainer
are certified by the Association of Statutory Health
Insurance Physicians. Our service point will help KKH will cover some of the costs of securing
you with your search for suitable therapists and the result of orthodontic treatment through
doctors. a fixed retainer in the lower jaw instead of
a detachable appliance. We will also cover
Rehabilitation sport/function training some of the costs for any repairs needed
during ongoing treatment. The condition for
We will continue to support you after a heart partial cost coverage is that it is claimed in
attack or another severe illness. We pay for mobil- connection with orthodontic treatment that
ity training under medical supervision within the is covered by your insurance, and that it is
legally specified scope of services. inserted by a certified service provider.
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R–S Rotavirus vaccination Sickness allowance
Rotaviruses can cause dangerous gastro-intestinal If your claim a continuation of salary payment from
diseases among infants. We cover the costs of the your employer ends while you are ill, the KKH is at
rotavirus vaccination of children aged between 6 your side. We usually pay 90 percent of your net
and 32 weeks, following consultation with a doctor. salary – up to 78 weeks of the same illness. As well
The doctor responsible will then settle the payment as the sickness allowance, the KKH will also pay your
for this service via your electronic health card. ongoing pension, unemployment and nursing care
For more information, see: www.kkh.de/rotaviren insurance contributions. We will cover at least half of
the contributions – and even the full amount if you
are receiving unemployment benefit. Self-employed
members can also claim this coverage if they choose
Your added bonus with KKH: the Comfort sickness allowance package.
KKH second opinion
Sickness allowance if a child falls ill
Has your doctor recommended an operation
and you want to make doubly sure before you KKH will help you if you need to care for your sick
go ahead? The KKH second opinion, which child, and no other adult is available to take on the
we now offer for many planned operations in task. If your child is statutorily insured and is under
the area of orthopaedics, ear, nose and throat 12 years old, we will pay you sickness allowance if
medicine, cardiology and urology, as well as you are unable to carry on working as a result.
recommended cancer therapy, can be of help.
Make use of our offer and use the support
provided by recognised experts to reach the
best and most secure decision for your indi- Your added bonus with KKH:
vidual situation. For more information, see: Sickness allowance tariffs
www.kkh.de/zweitmeinung
Only patients who are financially covered can
concentrate fully on getting better. Benefit
from the low-cost sickness allowance insur-
ance at KKH. With our sickness allowance
tariffs for the self-employed and new
Self-help
business founders, as well as artists and
For KKH, self-help is an important supplement publicists, you can also obtain coverage with
to the treatment options offered by doctors and the “Comfort” sickness allowance package in
other health industry professionals. That’s why we addition to the legally determined sickness
support basic self-help work, as well as selected allowance. For more information, see:
projects run by self-help organisations. For more www.kkh.de/krankengeldtarife
information, see www.kkh.de/selbsthilfe. There,
you can also find out who to turn to if you have
specific questions.
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S–T
Your added bonus with KKH:
Specialist doctor appointment Versicherer ist die
service DFV Deutsche Familienversicherung AG
doctor in order to prevent potential treatment in tions for the unemployed or sick
hospital. óó The option of cancellation on a day-to-day
* The risk bearer and contractual partner for KKH MeinPLUS in the
supplementary insurance sector is the DFV Deutsche Familien
Your added bonus with KKH:
versicherung AG.
StressCoach
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T Therapeutic measures among contractual
Your added bonus with KKH: partners
Tariffs
As a KKH member, you receive medically prescribed
Do you feel fit and rarely visit the doctor? If measures such as massages, physiotherapy, podo-
this applies to you, the KKH self-deductible logical treatments and speech- and occupational
tariff allows you to pay high premiums with a therapy. Adults only pay the legally determined co-
limited patient’s contribution for you. You can payments for such treatments. Children and young
use the Vital tariff if you do not wish to claim adults up to age 18 are fully covered.
for full inpatient hospital care. Alternatively,
you can use the contribution repayment tariff Treatment by a doctor
and get up to one full monthly contribution
back. For more information, visit your KKH Your choice of general practitioner is a matter for
service point, or see: www.kkh.de/tarife you to decide. As a member of KKH, you can natu-
rally choose whichever authorized doctor you wish.
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T
Your added bonus with KKH: Your added bonus with KKH:
Professional tooth cleaning biodentis – for the aesthetic and
high-quality treatment of your teeth
KKH will cover some of the costs of profes-
sional tooth cleaning conducted at the begin- You receive high-quality artificial teeth at
ning* and end** of treatment. A precondition special conditions, and your right to choose
is that it is conducted in connection with a your dentist is reserved. For more informati-
treatment that is covered by your medical on, see page 4 of this brochure.
insurance with fixed orthodontic treatment
appliances (multiband or multibracket
appliances). The contribution for profes-
sional tooth cleaning is also available as
part of orthodontic treatment for adults. Tooth replacement
* On condition that it is conducted four weeks at the earliest Travel and transport costs
before the fixed orthodontic treatment appliances are inserted.
** On condition that it is conducted within four weeks following
completion of the orthodontic treatment as specified in § 29 We will pay for your travel costs to inpatient hospital
section 3 SGB V. The date of issue of the certification of com treatment and in connection with certain outpa-
pletion is decisive when determining the date of completion of tient treatments. Please call the service-hotline for
treatment.
detailed information about the costs covered.
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V–Y Vaccinations
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Your personal contact: